Individual
JASON CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 N CAROLINE ST, DEPARTMENT OF OTOLARYNGOLOGY, BALTIMORE, MD 21287-0006
(410) 955-2982
(410) 955-8510
Mailing address
601 N CAROLINE ST, DEPARTMENT OF OTOLARYNGOLOGY, BALTIMORE, MD 21287-0006
(410) 955-2982
(410) 955-8510
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
HOSPITAL
MD
Other
Enumeration date
07/15/2007
Last updated
07/27/2011
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